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Idaho rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $107.09 / $130.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $98.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $103.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $95.73 / $127.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.65 / $121.02 / $127.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $94.01 / $111.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.55 / $124.40 / $186.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $89.17 / $133.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.17 / $58.60 / $92.93